Organization
J SCOTT PHARMACY
Active
Other names
JAY SCOTT DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT DAHER (OWNER/PHH)
(818) 845-8313
Entity
Organization
Contact information
Practice address
2200 N GLENOAKS BLVD, BURBANK, CA 91504-2829
(818) 845-8313
(818) 845-8975
Mailing address
2200 N GLENOAKS BLVD, BURBANK, CA 91504-2829
(818) 845-8313
(818) 845-8975
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY40912
CA
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0515265
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA409120
—
CA
Enumeration date
10/04/2006
Last updated
12/01/2010
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